Organization Active NPI

Pointe of Care,LLC

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1740645464
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
RN214831 Issued in GA
Legal business name
POINTE OF CARE,LLC
Practice address
3379 Peachtree Rd NE
Ste. 555
Atlanta, GA 30326-1031
Phone
(404) 946-0248
Fax
(404) 946-0249
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tekesa Michell Black, FNP-BC
Title
President
Phone
(404) 946-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X RN214831 GA Primary

Addresses

Primary practice location

3379 Peachtree Rd NE
Ste. 555
Atlanta, GA 30326-1031

Mailing address

3379 Peachtree Rd NE
Ste. 555
Atlanta, GA 30326-1031
Phone (404) 946-0248

Other identifiers 2

IdentifierTypeStateIssuer
003137494MedicaidGA
202G708011OtherGAMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1740645464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE",
            "address_2": "STE. 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "404-946-0248",
            "fax_number": "404-946-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE",
            "address_2": "STE. 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "404-946-0248",
            "fax_number": "404-946-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE OF CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TEKESA",
        "authorized_official_middle_name": "MICHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-946-0248",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "RN214831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137494",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202G708011",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.